Question 1

What is the focus of treatment for secondary hypertension?

Accepted Answer

A)  Smoking cessation program 
B)  Strenuous exercise program 
C)  Weight loss program designed to reduce weight rapidly 
D)  Specific etiologic disease 
A)  Smoking cessation program 
B)  Strenuous exercise program 
C)  Weight loss program designed to reduce weight rapidly 
D)  Specific etiologic disease D

Question 2

An obese 38-year-old African-American patient with diabetes is being evaluated for the use of propranolol (Inderal)in controlling hypertension.What is a contraindication for the use of propranolol (Inderal)in this patient?

Accepted Answer

A)  Race 
B)  Age 
C)  Diabetes 
D)  Weight 
A)  Race 
B)  Age 
C)  Diabetes 
D)  Weight C

Question 3

What do blood pressure readings need to exceed for a patient to be diagnosed with hypertension?

Accepted Answer

A)  120/80 mm Hg 
B)  130/90 mm Hg 
C)  140/90 mm Hg 
D)  150/100 mm Hg 
A)  120/80 mm Hg 
B)  130/90 mm Hg 
C)  140/90 mm Hg 
D)  150/100 mm Hg C

Question 4

A patient inquires if his blood pressure is normal.What is the nurse's most accurate response regarding the definition of normal blood pressure?

Accepted Answer

A)  Less than 144/90 mm Hg 
B)  Less than 138/86 mm Hg 
C)  Less than126/82 mm Hg 
D)  Less than 120/80 mm Hg 
A)  Less than 144/90 mm Hg 
B)  Less than 138/86 mm Hg 
C)  Less than126/82 mm Hg 
D)  Less than 120/80 mm Hg

Question 5

An 89-year-old patient is taking an antihypertensive medication.What should the nurse include when providing home care teaching?

Accepted Answer

A)  Get up out of bed slowly. 
B)  Take hot baths. 
C)  Report sexual dysfunction immediately. 
D)  Stop taking the drug if side effects occur. 
A)  Get up out of bed slowly. 
B)  Take hot baths. 
C)  Report sexual dysfunction immediately. 
D)  Stop taking the drug if side effects occur.

Question 6

A patient taking methyldopa (Aldomet)for hypertension reports to the emergency department with a severe headache, blurred vision, and a blood pressure reading of 200/94 mm Hg.What should the nurse suspect is happening to this patient?

Accepted Answer

A)  Hyperglycemia 
B)  Inadequate coping with sedation 
C)  Abrupt cessation of medication 
D)  Sexual dysfunction 
A)  Hyperglycemia 
B)  Inadequate coping with sedation 
C)  Abrupt cessation of medication 
D)  Sexual dysfunction

Question 7

A nurse is caring for a patient who is taking antihypertensive therapy.The patient reports fatigue and has a pulse of 54 beats/min.Which medication administered is most likely the cause of these symptoms?

Accepted Answer

A)  Diltiazem (Cardizem) 
B)  Furosemide (Lasix) 
C)  Hydrochlorothiazide (HydroDIURIL) 
D)  Methyldopa (Aldomet) 
A)  Diltiazem (Cardizem) 
B)  Furosemide (Lasix) 
C)  Hydrochlorothiazide (HydroDIURIL) 
D)  Methyldopa (Aldomet)

Question 8

A patient is prescribed an angiotensin-converting enzyme (ACE)inhibitor, enalapril (Vasotec).What is an appropriate instruction for the nurse to provide?

Accepted Answer

A)  Monitor potassium intake. 
B)  Report asthma symptoms. 
C)  Return for follow-up visits. 
D)  Assess blood sugar closely. 
A)  Monitor potassium intake. 
B)  Report asthma symptoms. 
C)  Return for follow-up visits. 
D)  Assess blood sugar closely.

Question 9

What are the advantages of hydrochlorothiazide (HydroDIURIL)? (Select all that apply.)

Accepted Answer

A)  Is potassium sparing 
B)  Is effective for African Americans 
C)  Consistently controls blood pressure 
D)  Has no side effects 
E)  Decreases heart rate 
A)  Is potassium sparing 
B)  Is effective for African Americans 
C)  Consistently controls blood pressure 
D)  Has no side effects 
E)  Decreases heart rate

Question 10

What should a nurse include when developing a teaching plan for a patient with hypertension?

Accepted Answer

A)  Stop medications if side effects occur. 
B)  Maintain a diet high in unsaturated fat. 
C)  Advise no further visits if no other symptoms occur. 
D)  Encourage relaxation techniques. 
A)  Stop medications if side effects occur. 
B)  Maintain a diet high in unsaturated fat. 
C)  Advise no further visits if no other symptoms occur. 
D)  Encourage relaxation techniques.

Question 11

A nurse is providing care to a patient diagnosed with essential hypertension.What should the nurse know is included in a first-line therapeutic approach to lowering this patient's blood pressure? (Select all that apply.)

Accepted Answer

A)  Smoking cessation 
B)  Beta-blockers 
C)  Exercise programs 
D)  Weight loss 
E)  Decreased sodium intake 
A)  Smoking cessation 
B)  Beta-blockers 
C)  Exercise programs 
D)  Weight loss 
E)  Decreased sodium intake

Question 12

A nurse is providing patient education regarding a low-sodium diet.In addition to the use of spices, what should the nurse recommend to help decrease sodium in the diet?

Accepted Answer

A)  Catsup 
B)  Garlic 
C)  Soy sauce 
D)  Cheese 
A)  Catsup 
B)  Garlic 
C)  Soy sauce 
D)  Cheese

Question 13

A nurse is educating a group of patients regarding Dietary Approaches to Stop Hypertension (DASH)diet.What recommendation should the nurse include as a source of protein and fat?

Accepted Answer

A)  Lean red meat 
B)  Whole grains 
C)  Low fiber 
D)  Sugar 
A)  Lean red meat 
B)  Whole grains 
C)  Low fiber 
D)  Sugar

Question 14

Which lifestyle change has the greatest effect on reducing hypertension?

Accepted Answer

A)  Sodium restriction 
B)  Reduction in alcohol consumption 
C)  Daily aerobic exercise 
D)  Weight reduction 
A)  Sodium restriction 
B)  Reduction in alcohol consumption 
C)  Daily aerobic exercise 
D)  Weight reduction

Question 15

A patient is taking hydrochlorothiazide (HydroDIURIL)for hypertension.When providing dietary teaching what should the nurse encourage the patient to increase the intake of?

Accepted Answer

A)  Bananas 
B)  Apple juice 
C)  Sugar-free foods 
D)  Low-fat milk 
A)  Bananas 
B)  Apple juice 
C)  Sugar-free foods 
D)  Low-fat milk

Question 16

A patient with hypertension comes to the emergency department and is experiencing nausea and vomiting and is restless and confused.Vital signs are assessed at blood pressure, 220/130 mm Hg; pulse, 120 beats/min; and respirations, 32 breaths/min.What should the nurse conclude the patient is experiencing based on these assessments?

Accepted Answer

A)  Hypertension crisis from the cessation of a drug 
B)  Stroke from increased blood pressure 
C)  Adverse drug reaction 
D)  Onset of diabetes 
A)  Hypertension crisis from the cessation of a drug 
B)  Stroke from increased blood pressure 
C)  Adverse drug reaction 
D)  Onset of diabetes

Question 17

Which conditions are considered potential causes of secondary hypertension? (Select all that apply.)

Accepted Answer

A)  Renal disease 
B)  Coarctation of the aorta 
C)  Colon cancer 
D)  Increased intracranial pressure (ICP) 
E)  Rheumatoid arthritis 
A)  Renal disease 
B)  Coarctation of the aorta 
C)  Colon cancer 
D)  Increased intracranial pressure (ICP) 
E)  Rheumatoid arthritis

Question 18

A nurse explains that hypertension occurs when a chain reaction of events takes place.______ (Place the following options in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A) Ephedrine constricts vessels and increases the heart rate. 
B) Renin constricts vessels and decreases the blood flow to the kidneys. 
C) Angiotensin constricts vessels in response to renin. 
D) Norepinephrine constricts vessels, increasing peripheral vascular resistance. 
E) The adrenal cortex produces aldosterone, causing fluids and sodium to be retained. 
A) Ephedrine constricts vessels and increases the heart rate. 
B) Renin constricts vessels and decreases the blood flow to the kidneys. 
C) Angiotensin constricts vessels in response to renin. 
D) Norepinephrine constricts vessels, increasing peripheral vascular resistance. 
E) The adrenal cortex produces aldosterone, causing fluids and sodium to be retained.

Question 19

A patient reports drowsiness after initiating atenolol (Tenormin)for the treatment of hypertension.What is the nurse's best response when educating this patient about atenolol (Tenormin)?

Accepted Answer

A)  Take the medication at bedtime. 
B)  Reduce the dose of the medication until the desired effect occurs. 
C)  Avoid activities that require alertness. 
D)  Talk to the physician because drowsiness is not an anticipated side effect. 
A)  Take the medication at bedtime. 
B)  Reduce the dose of the medication until the desired effect occurs. 
C)  Avoid activities that require alertness. 
D)  Talk to the physician because drowsiness is not an anticipated side effect.

Question 20

An obese African-American man reports that he smokes.How should the nurse stage this patient's hypertension?

Accepted Answer

A)  Grade A 
B)  Grade B 
C)  Grade C 
D)  Grade D 
A)  Grade A 
B)  Grade B 
C)  Grade C 
D)  Grade D

Exam 36: Hypertension

What is the focus of treatment for secondary hypertension?

An obese 38-year-old African-American patient with diabetes is being evaluated for the use of propranolol (Inderal)in controlling hypertension.What is a contraindication for the use of propranolol (Inderal)in this patient?

What do blood pressure readings need to exceed for a patient to be diagnosed with hypertension?

A patient inquires if his blood pressure is normal.What is the nurse's most accurate response regarding the definition of normal blood pressure?

An 89-year-old patient is taking an antihypertensive medication.What should the nurse include when providing home care teaching?

A patient taking methyldopa (Aldomet)for hypertension reports to the emergency department with a severe headache, blurred vision, and a blood pressure reading of 200/94 mm Hg.What should the nurse suspect is happening to this patient?

A nurse is caring for a patient who is taking antihypertensive therapy.The patient reports fatigue and has a pulse of 54 beats/min.Which medication administered is most likely the cause of these symptoms?

A patient is prescribed an angiotensin-converting enzyme (ACE)inhibitor, enalapril (Vasotec).What is an appropriate instruction for the nurse to provide?

What are the advantages of hydrochlorothiazide (HydroDIURIL)? (Select all that apply.)

What should a nurse include when developing a teaching plan for a patient with hypertension?

A nurse is providing care to a patient diagnosed with essential hypertension.What should the nurse know is included in a first-line therapeutic approach to lowering this patient's blood pressure? (Select all that apply.)

A nurse is providing patient education regarding a low-sodium diet.In addition to the use of spices, what should the nurse recommend to help decrease sodium in the diet?

A nurse is educating a group of patients regarding Dietary Approaches to Stop Hypertension (DASH)diet.What recommendation should the nurse include as a source of protein and fat?

Which lifestyle change has the greatest effect on reducing hypertension?

A patient is taking hydrochlorothiazide (HydroDIURIL)for hypertension.When providing dietary teaching what should the nurse encourage the patient to increase the intake of?

Which conditions are considered potential causes of secondary hypertension? (Select all that apply.)

A nurse explains that hypertension occurs when a chain reaction of events takes place.______ (Place the following options in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

A patient reports drowsiness after initiating atenolol (Tenormin)for the treatment of hypertension.What is the nurse's best response when educating this patient about atenolol (Tenormin)?

An obese African-American man reports that he smokes.How should the nurse stage this patient's hypertension?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders